﻿<!DOCTYPE html>
<html>
<head>
<title>基础资料登记</title>
<meta charset="utf-8">
<meta name="keywords" content="短照中心-湘潭市康复养老中心;">
<meta name="description" content="短照中心-湘潭市康复养老中心;">
<link rel="stylesheet" rev="stylesheet" href="css/framepage.css" type="text/css" media="screen" />
<link rel="stylesheet" type="text/css" href="js/waitBox/wait.css">

<script src="js/vue.js"></script>
<script src="js/jquery-3.2.1.min.js"></script>
<script src="js/jquery.cookie.js"></script>
<script src="js/JSON-js-master/json2.js"></script>
<script src="js/waitBox/wait.js"></script>
</head>

<body style="background:rbg(216,216,216);">
<div class="form_div" id="elder_vue_vm">
  <h3>长者资料</h3>
  <ul>
    <li><span class="tit" style="width:70px;">姓名：</span></li>
    <li><span>
      <input type="text" placeholder="请输入姓名" v-model="data.name" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">性别：</span></li>
    <li><span style="display:block;position:absolute;top:12px;left:0;">
      <input class="magic-radio" type="radio" v-model="data.sex" name="sex" id="s1" value="1"/>
      <label for="s1" class="label_txt" style="width:100px;">男</label>
      </span></li>
    <li><span style="display:block;position:absolute;top:12px;left:80px;">
      <input class="magic-radio" type="radio" v-model="data.sex" name="sex" id="s2" value="0"/>
      <label for="s2" class="label_txt" style="width:100px;">女</label>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">生日：</span></li>
    <li>
      <select v-model="data.year" style="width:90px;">
        <option value="2000">2000</option>
        <option value="1999">1999</option>
        <option value="1998">1998</option>
        <option value="1997">1997</option>
        <option value="1996">1996</option>
        <option value="1995">1995</option>
        <option value="1994">1994</option>
        <option value="1993">1993</option>
        <option value="1992">1992</option>
        <option value="1991">1991</option>
        <option value="1990">1990</option>
        <option value="1989">1989</option>
        <option value="1988">1988</option>
        <option value="1987">1987</option>
        <option value="1986">1986</option>
        <option value="1985">1985</option>
        <option value="1984">1984</option>
        <option value="1983">1983</option>
        <option value="1982">1982</option>
        <option value="1981">1981</option>
        <option value="1980">1980</option>
        <option value="1979">1979</option>
        <option value="1978">1978</option>
        <option value="1977">1977</option>
        <option value="1976">1976</option>
        <option value="1975">1975</option>
        <option value="1974">1974</option>
        <option value="1973">1973</option>
        <option value="1972">1972</option>
        <option value="1971">1971</option>
        <option value="1970">1970</option>
        <option value="1969">1969</option>
        <option value="1968">1968</option>
        <option value="1967">1967</option>
        <option value="1966">1966</option>
        <option value="1965">1965</option>
        <option value="1964">1964</option>
        <option value="1963">1963</option>
        <option value="1962">1962</option>
        <option value="1961">1961</option>
        <option value="1960">1960</option>
        <option value="1959">1959</option>
        <option value="1958">1958</option>
        <option value="1957">1957</option>
        <option value="1956">1956</option>
        <option value="1955">1955</option>
        <option value="1954">1954</option>
        <option value="1953">1953</option>
        <option value="1952">1952</option>
        <option value="1951">1951</option>
        <option value="1950">1950</option>
        <option value="1949">1949</option>
        <option value="1948">1948</option>
        <option value="1947">1947</option>
        <option value="1946">1946</option>
        <option value="1945">1945</option>
        <option value="1944">1944</option>
        <option value="1943">1943</option>
        <option value="1942">1942</option>
        <option value="1941">1941</option>
        <option value="1940">1940</option>
        <option value="1939">1939</option>
        <option value="1938">1938</option>
        <option value="1937">1937</option>
        <option value="1936">1936</option>
        <option value="1935">1935</option>
        <option value="1934">1934</option>
        <option value="1933">1933</option>
        <option value="1932">1932</option>
        <option value="1931">1931</option>
        <option value="1930">1930</option>
        <option value="1929">1929</option>
        <option value="1928">1928</option>
        <option value="1927">1927</option>
        <option value="1926">1926</option>
        <option value="1925">1925</option>
        <option value="1924">1924</option>
        <option value="1923">1923</option>
        <option value="1922">1922</option>
        <option value="1921">1921</option>
        <option value="1920">1920</option>
        <option value="1919">1919</option>
        <option value="1918">1918</option>
        <option value="1917">1917</option>
        <option value="1916">1916</option>
        <option value="1915">1915</option>
        <option value="1914">1914</option>
        <option value="1913">1913</option>
        <option value="1912">1912</option>
        <option value="1911">1911</option>
        <option value="1910">1910</option>
        <option value="1909">1909</option>
        <option value="1908">1908</option>
        <option value="1907">1907</option>
        <option value="1906">1906</option>
        <option value="1905">1905</option>
        <option value="1904">1904</option>
        <option value="1903">1903</option>
        <option value="1902">1902</option>
        <option value="1901">1901</option>
        <option value="1900">1900</option>
      </select>
    </li>
    <li>
      <select v-model="data.month" style="width:90px;">
        <option value="12">12</option>
        <option value="11">11</option>
        <option value="10">10</option>
        <option value="9">9</option>
        <option value="8">8</option>
        <option value="7">7</option>
        <option value="6">6</option>
        <option value="5">5</option>
        <option value="4">4</option>
        <option value="3">3</option>
        <option value="2">2</option>
        <option value="1">1</option>
      </select>
    </li>
    <li>
      <select v-model="data.day" style="width:92px;">
        <option value="31">31</option>
        <option value="30">30</option>
        <option value="29">29</option>
        <option value="28">28</option>
        <option value="27">27</option>
        <option value="26">26</option>
        <option value="25">25</option>
        <option value="24">24</option>
        <option value="23">23</option>
        <option value="22">22</option>
        <option value="21">21</option>
        <option value="20">20</option>
        <option value="19">19</option>
        <option value="18">18</option>
        <option value="17">17</option>
        <option value="16">16</option>
        <option value="15">15</option>
        <option value="14">14</option>
        <option value="13">13</option>
        <option value="12">12</option>
        <option value="11">11</option>
        <option value="10">10</option>
        <option value="9">9</option>
        <option value="8">8</option>
        <option value="7">7</option>
        <option value="6">6</option>
        <option value="5">5</option>
        <option value="4">4</option>
        <option value="3">3</option>
        <option value="2">2</option>
        <option value="1">1</option>
      </select>
    </li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">民族：</span></li>
    <li><span>
      <input type="text" placeholder="请输入民族" v-model="data.peoples" style="width:100px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">身份证号：</span></li>
    <li><span>
      <input type="text" placeholder="请输入身份证号" v-model="data.cardId" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">婚姻状况：</span></li>
    <li><span>
      <input type="text" placeholder="请输入婚姻状况" v-model="data.maritalStatus" style="width:100px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">户口：</span></li>
    <li><span>
      <input type="text" placeholder="请输入户口所在地" v-model="data.registeredResidence" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">住址：</span></li>
    <li><span>
      <input type="text" placeholder="请输入家庭住址" v-model="data.liveAddress"style="width:300px;"/>
      </span></li>
  </ul>
</div>
<div style="clear:both;"></div>
<div class="form_div" id="elderFamilyMember_vue_vm">
  <h3>家属资料</h3>
  <ul>
    <li><span class="tit" style="width:70px;">姓名：</span></li>
    <li><span>
      <input type="text" placeholder="请输入姓名" v-model="data.name" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">性别：</span></li>
    <li><span style="display:block;position:absolute;top:12px;left:0;">
      <input class="magic-radio" type="radio" v-model="data.sex" name="jssex" id="jss1" value="1"/>
      <label for="jss1" class="label_txt" style="width:100px;">男</label>
      </span></li>
    <li><span style="display:block;position:absolute;top:12px;left:80px;">
      <input class="magic-radio" type="radio" v-model="data.sex" name="jssex" id="jss2" value="0"/>
      <label for="jss2" class="label_txt" style="width:100px;">女</label>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">生日：</span></li>
    <li>
      <select v-model="data.year" style="width:90px;">
        <option value="2000">2000</option>
        <option value="1999">1999</option>
        <option value="1998">1998</option>
        <option value="1997">1997</option>
        <option value="1996">1996</option>
        <option value="1995">1995</option>
        <option value="1994">1994</option>
        <option value="1993">1993</option>
        <option value="1992">1992</option>
        <option value="1991">1991</option>
        <option value="1990">1990</option>
        <option value="1989">1989</option>
        <option value="1988">1988</option>
        <option value="1987">1987</option>
        <option value="1986">1986</option>
        <option value="1985">1985</option>
        <option value="1984">1984</option>
        <option value="1983">1983</option>
        <option value="1982">1982</option>
        <option value="1981">1981</option>
        <option value="1980">1980</option>
        <option value="1979">1979</option>
        <option value="1978">1978</option>
        <option value="1977">1977</option>
        <option value="1976">1976</option>
        <option value="1975">1975</option>
        <option value="1974">1974</option>
        <option value="1973">1973</option>
        <option value="1972">1972</option>
        <option value="1971">1971</option>
        <option value="1970">1970</option>
        <option value="1969">1969</option>
        <option value="1968">1968</option>
        <option value="1967">1967</option>
        <option value="1966">1966</option>
        <option value="1965">1965</option>
        <option value="1964">1964</option>
        <option value="1963">1963</option>
        <option value="1962">1962</option>
        <option value="1961">1961</option>
        <option value="1960">1960</option>
        <option value="1959">1959</option>
        <option value="1958">1958</option>
        <option value="1957">1957</option>
        <option value="1956">1956</option>
        <option value="1955">1955</option>
        <option value="1954">1954</option>
        <option value="1953">1953</option>
        <option value="1952">1952</option>
        <option value="1951">1951</option>
        <option value="1950">1950</option>
        <option value="1940">1940</option>
        <option value="1949">1949</option>
        <option value="1948">1948</option>
        <option value="1947">1947</option>
        <option value="1946">1946</option>
        <option value="1945">1945</option>
        <option value="1944">1944</option>
        <option value="1943">1943</option>
        <option value="1942">1942</option>
        <option value="1941">1941</option>
        <option value="1940">1940</option>
      </select>
    </li>
    <li>
      <select v-model="data.month" style="width:90px;">
        <option value="12">12</option>
        <option value="11">11</option>
        <option value="10">10</option>
        <option value="9">9</option>
        <option value="8">8</option>
        <option value="7">7</option>
        <option value="6">6</option>
        <option value="5">5</option>
        <option value="4">4</option>
        <option value="3">3</option>
        <option value="2">2</option>
        <option value="1">1</option>
      </select>
    </li>
    <li>
      <select v-model="data.day" style="width:92px;">
        <option value="31">31</option>
        <option value="30">30</option>
        <option value="29">29</option>
        <option value="28">28</option>
        <option value="27">27</option>
        <option value="26">26</option>
        <option value="25">25</option>
        <option value="24">24</option>
        <option value="23">23</option>
        <option value="22">22</option>
        <option value="21">21</option>
        <option value="20">20</option>
        <option value="19">19</option>
        <option value="18">18</option>
        <option value="17">17</option>
        <option value="16">16</option>
        <option value="15">15</option>
        <option value="14">14</option>
        <option value="13">13</option>
        <option value="12">12</option>
        <option value="11">11</option>
        <option value="10">10</option>
        <option value="9">9</option>
        <option value="8">8</option>
        <option value="7">7</option>
        <option value="6">6</option>
        <option value="5">5</option>
        <option value="4">4</option>
        <option value="3">3</option>
        <option value="2">2</option>
        <option value="1">1</option>
      </select>
    </li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">身份证号：</span></li>
    <li><span>
      <input type="text" placeholder="请输入身份证号" v-model="data.cardId" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">关系：</span></li>
    <li><span>
      <input type="text" placeholder="请输入关系" v-model="data.relationship" style="width:100px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">工作单位：</span></li>
    <li><span>
      <input type="text" placeholder="请输入工作单位" v-model="data.workUnits" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">单位地址：</span></li>
    <li><span>
      <input type="text" placeholder="请输入工作单位地址" v-model="data.unitsAddress" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">住址：</span></li>
    <li><span>
      <input type="text" placeholder="请输入家庭住址" v-model="data.liveAddress"style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">手机：</span></li>
    <li><span>
      <input type="text" placeholder="请输入手机号" v-model="data.phoneNumber" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">邮箱：</span></li>
    <li><span>
      <input type="text" placeholder="请输入邮箱地址" v-model="data.email" style="width:300px;"/>
      </span></li>
  </ul>
</div>
<div style="clear:both;"></div>
<div class="form_div" id="elderMemContacts_vue_vm">
  <h3>紧急联系人资料</h3>
  <ul>
    <li><span class="tit" style="width:70px;">姓名：</span></li>
    <li><span>
      <input type="text" placeholder="请输入姓名" v-model="data.name" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">性别：</span></li>
    <li><span style="display:block;position:absolute;top:12px;left:0;">
      <input class="magic-radio" type="radio" v-model="data.sex" name="jjsex" id="jjs1" value="1"/>
      <label for="jjs1" class="label_txt" style="width:100px;">男</label>
      </span></li>
    <li><span style="display:block;position:absolute;top:12px;left:80px;">
      <input class="magic-radio" type="radio" v-model="data.sex" name="jjsex" id="jjs2" value="0"/>
      <label for="jjs2" class="label_txt" style="width:100px;">女</label>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">生日：</span></li>
    <li>
      <select v-model="data.year" style="width:90px;">
        <option value="2000">2000</option>
        <option value="1999">1999</option>
        <option value="1998">1998</option>
        <option value="1997">1997</option>
        <option value="1996">1996</option>
        <option value="1995">1995</option>
        <option value="1994">1994</option>
        <option value="1993">1993</option>
        <option value="1992">1992</option>
        <option value="1991">1991</option>
        <option value="1990">1990</option>
        <option value="1989">1989</option>
        <option value="1988">1988</option>
        <option value="1987">1987</option>
        <option value="1986">1986</option>
        <option value="1985">1985</option>
        <option value="1984">1984</option>
        <option value="1983">1983</option>
        <option value="1982">1982</option>
        <option value="1981">1981</option>
        <option value="1980">1980</option>
        <option value="1979">1979</option>
        <option value="1978">1978</option>
        <option value="1977">1977</option>
        <option value="1976">1976</option>
        <option value="1975">1975</option>
        <option value="1974">1974</option>
        <option value="1973">1973</option>
        <option value="1972">1972</option>
        <option value="1971">1971</option>
        <option value="1970">1970</option>
        <option value="1969">1969</option>
        <option value="1968">1968</option>
        <option value="1967">1967</option>
        <option value="1966">1966</option>
        <option value="1965">1965</option>
        <option value="1964">1964</option>
        <option value="1963">1963</option>
        <option value="1962">1962</option>
        <option value="1961">1961</option>
        <option value="1960">1960</option>
        <option value="1959">1959</option>
        <option value="1958">1958</option>
        <option value="1957">1957</option>
        <option value="1956">1956</option>
        <option value="1955">1955</option>
        <option value="1954">1954</option>
        <option value="1953">1953</option>
        <option value="1952">1952</option>
        <option value="1951">1951</option>
        <option value="1950">1950</option>
        <option value="1940">1940</option>
        <option value="1949">1949</option>
        <option value="1948">1948</option>
        <option value="1947">1947</option>
        <option value="1946">1946</option>
        <option value="1945">1945</option>
        <option value="1944">1944</option>
        <option value="1943">1943</option>
        <option value="1942">1942</option>
        <option value="1941">1941</option>
        <option value="1940">1940</option>
      </select>
    </li>
    <li>
      <select v-model="data.month" style="width:90px;">
        <option value="12">12</option>
        <option value="11">11</option>
        <option value="10">10</option>
        <option value="9">9</option>
        <option value="8">8</option>
        <option value="7">7</option>
        <option value="6">6</option>
        <option value="5">5</option>
        <option value="4">4</option>
        <option value="3">3</option>
        <option value="2">2</option>
        <option value="1">1</option>
      </select>
    </li>
    <li>
      <select v-model="data.day" style="width:92px;">
        <option value="31">31</option>
        <option value="30">30</option>
        <option value="29">29</option>
        <option value="28">28</option>
        <option value="27">27</option>
        <option value="26">26</option>
        <option value="25">25</option>
        <option value="24">24</option>
        <option value="23">23</option>
        <option value="22">22</option>
        <option value="21">21</option>
        <option value="20">20</option>
        <option value="19">19</option>
        <option value="18">18</option>
        <option value="17">17</option>
        <option value="16">16</option>
        <option value="15">15</option>
        <option value="14">14</option>
        <option value="13">13</option>
        <option value="12">12</option>
        <option value="11">11</option>
        <option value="10">10</option>
        <option value="9">9</option>
        <option value="8">8</option>
        <option value="7">7</option>
        <option value="6">6</option>
        <option value="5">5</option>
        <option value="4">4</option>
        <option value="3">3</option>
        <option value="2">2</option>
        <option value="1">1</option>
      </select>
    </li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">身份证号：</span></li>
    <li><span>
      <input type="text" placeholder="请输入身份证号" v-model="data.cardId" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">关系：</span></li>
    <li><span>
      <input type="text" placeholder="请输入关系" v-model="data.relationship" style="width:100px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">工作单位：</span></li>
    <li><span>
      <input type="text" placeholder="请输入工作单位" v-model="data.workUnits" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">单位地址：</span></li>
    <li><span>
      <input type="text" placeholder="请输入工作单位地址" v-model="data.unitsAddress" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">住址：</span></li>
    <li><span>
      <input type="text" placeholder="请输入家庭住址" v-model="data.liveAddress"style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">手机：</span></li>
    <li><span>
      <input type="text" placeholder="请输入手机号" v-model="data.phoneNumber" style="width:300px;"/>
      </span></li>
  </ul>
  <ul>
    <li><span class="tit" style="width:70px;">邮箱：</span></li>
    <li><span>
      <input type="text" placeholder="请输入邮箱地址" v-model="data.email" style="width:300px;"/>
      </span></li>
  </ul>
  <div class="for_ie_div"><!--为兼容IE-->
    <ul>
      <li><span class="tit" style="width:70px;"></span></li>
      <li>
        <input type="button" value="确认提交" class="button button1" onclick="saveElderBaseInfo();" style="height:38px;"/>
      </li>
    </ul>
  </div>
</div>
<div style="clear:both;"></div>
<script src="js/common.js"></script>
<script src="js/common_function.js"></script>  
<script src="js/busi/elder.js"></script> 
<script src="js/busi/elder_family_member.js"></script> 
<script src="js/busi/elder_mem_contacts.js"></script>
</body>
</html>